Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.61 / $4,023.00 / $15,795.00	Facility		$116.61	$4,023.00	$15,795.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $108.73 / $321.18	Professional		$75.75	$108.73	$321.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,539.00 / $9,381.00	Facility		$1,787.00	$4,539.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $109.32 / $240.26	Professional		$74.00	$109.32	$240.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,238.60	Facility		$65.80	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $115.45 / $235.79	Professional		$78.34	$115.45	$235.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $127.76 / $258.25	Professional		$84.75	$127.76	$258.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $103.98 / $181.21	Professional		$58.45	$103.98	$181.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $128.69 / $241.42	Professional		$81.56	$128.69	$241.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $370.89 / $2,546.60 / $12,000.00	Facility		$370.89	$2,546.60	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $589.84 / $904.80 / $1,056.08	Professional		$589.84	$904.80	$1,056.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.33 / $117.47 / $182.99	Facility		$81.33	$117.47	$182.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.83 / $134.07 / $269.04	Professional		$84.83	$134.07	$269.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $273.14 / $273.14 / $431.82	Professional		$273.14	$273.14	$431.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $95.82 / $137.24	Professional		$65.47	$95.82	$137.24
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.24 / $130.28 / $319.76	Professional		$97.24	$130.28	$319.76